Quality Assurance Nurse - KeystoneCare

Are you ready to play a crucial role in ensuring the highest standards of patient care? As a Quality Assurance Nurse at KeystoneCare, you will be responsible for monitoring and improving the quality of services provided by our healthcare team. You’ll work closely with clinical staff to assess compliance with regulations, policies, and best practices, providing valuable insights to enhance our patient care processes.

Your primary focus will be on conducting audits, analyzing data, and facilitating staff education to promote effective problem-solving and a culture of continuous improvement. Your expertise will contribute significantly to our commitment to providing exceptional care to our patients.

See what it's like to work for KeystoneCare: https://www.youtube.com/watch?v=DyEH9buz_Vc

KeystoneCare is an Equal Opportunity Employer

Primary Job Responsibilities

• Coordinates with third-party review service to ensure coding, OASIS Reviews, and POC Reviews are completed.  Responds to any review holds and ensures timely resolution.
• Collaborate with clinical staff to develop and implement quality improvement initiatives.
• Provide education and training to nursing staff on quality assurance processes, best practices, and regulatory requirements.
• Assist in the development and revision of policies and procedures to improve patient care quality.
• Stays current on changes in regulatory guidelines related to the Home Health and Hospice industry.
• Maintains proficiency in OASIS and Coding guidelines.
• Manages and monitors patients in Transferred/On-Hold status.  Ensures proper documentation of transfer and eventual discharge or ROC.
• Access Hospital EMR records to obtain additional information needed for SOC, ROC, Transfer and Discharge as needed.
• Reviews and closes all Transfer, Recert, ROC, and Discharge OASIS.
• Regularly monitors active wound list and ensures proper wound scores, treatments, orders, and weekly photos are documented.  Triggers clinical supervision to respond to any non-healing or degrading wounds.
• Monitors list of patients classified as high risk for ACH.  Participates in weekly IDT case conferences.
• Serves as a backup clinical resource for the intake department as needed.
• Participates in chart audit processes on occasion.
• Attends virtual and on-site meetings as needed.

Requirements

• Registered Nurse (RN) with a valid Pennsylvania nursing license
• Current certification in OASIS and ICD Coding
• Minimum of three years of clinical nursing experience, preferably in home health or hospice
• Experience in quality assurance, compliance, or related field preferred
• Strong analytical skills with the ability to interpret data and trends
• Excellent communication skills, both verbal and written
• Detail-oriented with a strong commitment to patient safety and quality care
• Ability to work collaboratively within a team environment
• Proficient in Microsoft Office Suite and electronic medical records systems
• Proof of COVID-19 Vaccination or an approved Medical or Religious exemption.
• Proof of Influenza (Flu) Vaccination or an approved Medical or Religious exemption.

Benefits

• Lunch Provided Daily
• Paid Time Off
• Paid Holidays for Full-time staff
• Medical, Dental, Vision, and Aflac plans available for Full-time staff
• $25K Company Paid Life Insurance Policy for full-time staff
• Retirement plan with discretionary employer match